Individual
CAROLYN V LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5900 COYLE AVE STE A, CARMICHAEL, CA 95608-0400
(916) 414-9055
(916) 414-9054
Mailing address
7466 SACHI WAY, SACRAMENTO, CA 95823-3964
(650) 441-5539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
428050
CA
363L00000X
Nurse Practitioner
NP13965
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
13965
CA
Other
Enumeration date
03/05/2013
Last updated
12/27/2018
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